医院病案首页数据质量的调研及提高

The Investigation and Improvement of Data Quality of Medical Records

随着移动医疗的发展和医疗服务模式的不断改革,随访成为许多医院与患者沟通的方式,肿瘤随访是医院针对肿瘤患者的窗口。病案首页是病人疾病发生、发展及结局的原始记录,记载着疾病的宝贵信息,病案随访是科研资料的来源和医患沟通的平台。然而,许多医院的病案首页数据存在着不同程度的数据质量问题,通过从医院管理和数据清洗来提高病案首页数据质量。

With the development of mobile medical and the continuous reform of medical service model, follow-up becomes the way of communication between many hospitals and patients, tumor follow-up is the window of hospital for cancer patients. The first page of the medical record is the original record of the occurrence, development and out-come of the disease. It records the invaluable information of the disease. The follow-up of the medical record is the platform of the research data and the communication between doctors and patients. However, many hospitals have dif-ferent degrees of data quality problems in the medical record homepage data, which can improve the quality of medical data and improve the follow-up efficiency of medical staff by improving hospital data management and data cleaning.